Johnson Vision Development Center, Llc
LBN: Johnson Vision Development Center, Llc
Johnson Vision Development Center, Llc is an health care organization with primary practice located at 1012 Greystone Square , Jackson TN 38305. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Pediatrics is the primary health care specialty.
Johnson Vision Development Center, Llc can be contacted via phone (731) 660-1100, or through Johnson-Wyatt, Paula via phone (731) 660-1100.
Contact Information
Primary practice address
1012 Greystone Square
Jackson TN 38305
Phone: (731) 660-1100
Fax: (731) 660-0688
Website:
Authorized official contact:
Name: Johnson-Wyatt, Paula Doctor of Optometry (OD)
Phone: (731) 660-1100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X |
Profile Details
| NPI number | 1235401514 |
|---|---|
| LBN Legal business name | Johnson Vision Development Center, Llc |
| DBA Doing business as | |
| Authorized official | Johnson-Wyatt, Paula Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2012 |
| Last updated | Sep 25th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235401514 | NPPES |
| Tennessee | MEDICAID | 5440904 | |
| Tennessee | MEDICAID | Q028220 |
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